Faculty Opinions recommendation of Risk factors for female sexual dysfunction in the general population: exploring factors associated with low sexual function and sexual distress.

Purpose. No data are currently available on female sexual dysfunction (FSD) in primary adrenal insufficiency (PAI) and the possible impact of replacement therapy. The aim of this study was to evaluate the prevalence of FSD and sexual distress (SD), and to evaluate the possible impact of replacement therapy on sexuality in women with PAI. Methods. Female Sexual Function Index-6 (FSFI-6) and Sexual Distress Scale (SDS) questionnaires were administered to 22 women with PAI and 23 healthy women matched for age as controls. Results. The prevalence of sexual symptoms measured by FSFI-6 (total score < 19) was significantly higher in women with PAI (15/22; 68.2%) compared to the controls (2/23; 8.7%; p = 0.001). Regarding the questionnaire items, significantly different scores were found for desire (p < 0.001), arousal (p = 0.0006), lubrication (p = 0.046) and overall sexual satisfaction (p < 0.0001) in women with PAI compared to the controls. The rate of FSD (FSFI < 19 with SDS >15) was 60% in patients with PAI. A significant inverse correlation was found between FSFI-6 total scores and SD (r = −0.65; p = 0.0011), while a significant direct correlation was found between FSFI-6 total scores and serum cortisol levels (r = 0.55; p = 0.035). Conclusions. A higher prevalence of FSD was found in women affected by PAI compared to healthy women. Desire seems to be the most impaired aspect of sexual function. Moreover, sexual dysfunction in this population seems to be related to sexual distress and cortisol levels.

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Risk factors associated with female sexual dysfunction among married women in Upper Egypt; a cross sectional study

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20180218 ◽

2018 ◽

Vol 5 (2) ◽

pp. 449

Author(s):

Ahmed E. Arafa ◽

Rasha S. Elbahrawe ◽

Sherwet M. Shawky ◽

Alshimaa M. Mostafa ◽

Safaa S. Ahmed ◽

...

Keyword(s):

Risk Factors ◽

Sexual Dysfunction ◽

Potential Risk ◽

Female Sexual Dysfunction ◽

Cross Sectional Study ◽

Negative Consequences ◽

Sectional Study ◽

Cross Sectional ◽

Factors Associated ◽

Potential Risk Factors

Background: Female sexual dysfunction (FSD) has many psychological and social negative consequences. The aim of this study is to detect the potential risk factors associated with FSD among sexually active women in Beni-Suef, Egypt. Methods: A multi-stage random sampling methodology was used to include 490 premenopausal women, residing in Beni-Suef, in this cross-sectional study. FSD was measured using the Arabic version of the female sexual function index (ArFSFI), throughout an interview. It includes 6 domains; desire, arousal, lubrication, orgasm, satisfaction and pain. The questions in each domain have five to six choices with a score ranging between zero and five. Results: Age, years of marriage and number of pregnancies correlated negatively with ArFSFI total score (p<0.05). Higher body mass index was associated with lower scores of desire, arousal and lubrication (p<0.05). Compared to those with constant job, unemployed women had lower scores of desire and arousal (p<0.05). No statistically significant associations have been detected between circumcision and any of the studied ArFSFI domains (p>0.05). Conclusions: There are many potential risk factors suggested to be associated with FSD. Further studies should focus on understanding the adaptive strategies used by women to get over their FSD problems. Barriers preventing women with FSD from seeking treatment should also be investigated.

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The prevalence of female sexual dysfunction and potential risk factors that may impair sexual function

European Urology Supplements ◽

10.1016/s1569-9056(02)80584-x ◽

2002 ◽

Vol 1 (1) ◽

pp. 150

Author(s):

Selahittin Cayan ◽

Erdem Akbay ◽

Bülent Campolat ◽

Deniz Acar ◽

Murat Bozlu ◽

...

Keyword(s):

Risk Factors ◽

Sexual Dysfunction ◽

Sexual Function ◽

Potential Risk ◽

Female Sexual Dysfunction ◽

Potential Risk Factors

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Sexual Dysfunction in Women: An Overview of Risk Factors and Prevalence in Indian Women

Journal of SAFOG with DVD ◽

10.5005/jp-journals-10006-1195 ◽

2012 ◽

Vol 4 (3) ◽

pp. 134-136 ◽

Cited By ~ 2

Author(s):

Rohina S Aggarwal ◽

Vineet V Mishra ◽

Navin A Panchal ◽

Nital H Patel ◽

Vrushali V Deshchougule ◽

...

Keyword(s):

Risk Factors ◽

Sexual Dysfunction ◽

Sexual Function ◽

Female Sexual Dysfunction ◽

Menopausal Status ◽

Indian Women ◽

Medical Risk ◽

Medical Risk Factors ◽

Lower Education Level ◽

Lower Education

ABSTRACT Objective To detect the prevalence of sexual dysfunction and also to investigate possible risk factors that may cause sexual dysfunction in the Indian women. Materials and methods The prospective study consisted of 500 women between ages 18 and 66 years from different sociocultural areas. The women were divided into five groups according to their ages <24 years (n = 129), 24 to 30 years (n = 182), 31 to 37 years (n = 125), 38 to 42 years (n = 22), >42 years (n = 42). Female sexual function was assessed with a detailed 19-item FSFI questionnaire to evaluate five domains of sexual dysfunction, i.e. desire, arousal, lubrication, orgasm and pain. Demographic characteristics and medical risk factors were evaluated and findings were compared between the women with and without sexual dysfunction. Results Based on total sexual function score, 278 (55.6%) of total 500 patients had sexual dysfunction. The commonest dysfunction was orgasmic (91.7%) followed by lubrication (89.2%). Out of 278 patients, 53 patients (19%) were in the age of more than 38 years in the FSD group. Female sexual dysfunction was more prevalent in illiterate women, 7.19% patients were illiterate in the FSD group as compared to 3.15% patients in the women with no FSD (p = 0.04). It shows that prevalence of female sexual dysfunction was significantly higher in the older age group and in illiterate patients. Conclusion The prevalence of female sexual dysfunction rises with age, lower education level, chronic disease and menopausal status. How to cite this article Aggarwal RS, Mishra VV, Panchal NA, Patel NH, Deshchougule VV, Jasani AF, Sexual Dysfunction in Women: An Overview of Risk Factors and Prevalence in Indian Women. J South Asian Feder Obst Gynae 2012;4(3):134-136.

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Genetic and environmental risk factors for sexual distress and its association with female sexual dysfunction

Psychological Medicine ◽

10.1017/s0033291711000493 ◽

2011 ◽

Vol 41 (11) ◽

pp. 2435-2445 ◽

Cited By ~ 20

Author(s):

A. Burri ◽

Q. Rahman ◽

T. Spector

Keyword(s):

Risk Factors ◽

Sexual Dysfunction ◽

Environmental Risk ◽

Female Sexual Dysfunction ◽

Environmental Risk Factors ◽

Bivariate Analysis ◽

Obsessive Compulsive ◽

General Anxiety ◽

Sexual Distress ◽

Potential Risk Factors

BackgroundThe DSM-V Working Group is currently re-evaluating distress as a primary diagnostic criterion for female sexual dysfunction (FSD). Here, for the first time, we explored the epidemiology of sexual distress and its putative aetiological relationship to FSD by estimating the influence of genetic and environmental risk factors.MethodQuestionnaire data on a representative sample of 930 British female twins using validated scales of FSD and sexual distress were subject to variance components analyses to quantify latent genetic and environmental factors influencing phenotypic variation and covariation. Multiple regression analyses were used to identify other potential risk factors of sexual distress.ResultsOf 319 women with any sexual problems, only 36.5% reported distress. Of women classified as functional, 16.5% felt sexual distress. Sexual distress had a heritability of 44% [95% confidence interval (CI) 0.33–0.54]. Bivariate analysis suggested that the majority (91% CI 86–99%) of the covariance between sexual distress and FSD was due to unique environmental effects common to both traits. Associations were found between sexual distress and other risk variables, including relationship dissatisfaction [odds ratio (OR) 1.6, p<0.001], anxiety sensitivity and obsessive–compulsive symptomatology (OR 1.2, p<0.01, for both).ConclusionsThere seems to be a weak phenotypic and genetic basis for including sexual distress as a diagnostic indicator of FSD. Instead, the data indicate that unrelated psychological factors play an important role in sexual distress and tentatively suggest that sexual distress is less a consequence of FSD and more related to general anxiety among women.

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Risk factors associated with primary and secondary reduced libido in male patients with sexual dysfunction

Endocrine Abstracts ◽

10.1530/endoabs.32.p672 ◽

2013 ◽

Author(s):

Giovanni Corona ◽

Giulia Rastrelli ◽

Emmanuele Jannini ◽

Linda Vignozzi ◽

Edoardo Mannucci ◽

...

Keyword(s):

Risk Factors ◽

Sexual Dysfunction ◽

Factors Associated ◽

Male Patients

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Sexual function in Chinese women from pregnancy to postpartum: a multicenter longitudinal prospective study

BMC Pregnancy and Childbirth ◽

10.1186/s12884-021-03546-6 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Qiuxiang Zhang ◽

Min Shen ◽

Yaning Zheng ◽

Shimei Jiao ◽

Shangxiao Gao ◽

...

Keyword(s):

Weight Gain ◽

Sexual Dysfunction ◽

Sexual Function ◽

Female Sexual Dysfunction ◽

Chinese Women ◽

Qualitative Interviews ◽

First Trimester ◽

Partnership Quality ◽

Pregnancy And Postpartum ◽

Postpartum Weight

Abstract Background The aims of our research were as follows: First, to estimate the prevalence of female sexual dysfunction in early, middle, late stages of pregnancy, and postpartum 6 months after delivery. Second, to discuss relevant factors associated with female sexual dysfunction among women in 6 months after delivery in Nanjing, Yangzhou and Huaian Main, China. Methods Our multicenter longitudinal study was carried out from September 2017 to March 2019, with participants recruited from Southeast China: Nanjing, Yangzhou and Huaian. Participants were recruited when they built their Record of Prenatal Care in community hospitals. The online questionnaires included a set of validated tools, sociodemographic information as wells as medical history data. In the meantime, qualitative interviews were conducted during different periods of pregnancy (from the first trimester to the third trimester of pregnancy and following up to six-month postpartum) respectively. All participants have obtained written informed consent. Results By qualitative interview, the vast majority of the participants were inactive in having sex from pregnancy to postpartum. There were negative aspects of sexual experiences, emotional responses closely related to self-attitudes toward sexual behavior during this period. Through quantitative analysis, pre pregnancy BMI (OR = 1.15, P = 0.012), postpartum weight gain (OR = 1.057, P = 0.033) and partnership quality (OR = 1.181, P = 0.04) were associated with postpartum sexual dysfunction 6 months after delivery. Conclusions Women are at the risk of significantly different FSD with regard to pre-pregnancy BMI, postpartum weight gain and partnership quality. The impaired sexual function from pregnancy to postpartum period indicated the requirement for further survey as well as extensive investigation.

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Female sexual dysfunction: a problem hidden in the shadows

Current Pharmaceutical Design ◽

10.2174/1381612827666210719104950 ◽

2021 ◽

Vol 27 ◽

Author(s):

Konstantinos P. Imprialos ◽

Konstantinos Koutsampasopoulos ◽

Aleksandra Katsimardou ◽

Sofia Bouloukou ◽

Iakovos Theodoulidis ◽

...

Keyword(s):

Risk Factors ◽

Sexual Dysfunction ◽

Female Sexual Dysfunction ◽

Treatment Options ◽

Public Health Problem ◽

Management Options ◽

Significant Public Health Problem ◽

Significant Public Health ◽

Cv Disease

Background: Female sexual dysfunction (FSD) has mainly been underdiagnosed and undertreated due to the lack of concrete definitions, validated assessment methods, and efficient treatments. However, during the last few decades, there has been significant progress in the clinical management and research of FSD. Objective: The purpose of this review is to describe the pathophysiology of FSD, report the prevalence of the disease in the setting of cardiovascular (CV) risk factors and disease, and review current and under investigation treatment options. Methods: A comprehensive literature review was performed to identify studies examining the association of FSD with CV risk factors and/or disease and studies reporting appropriate management options. Results: The prevalence of FSD is increased in the general population (approximately 40%) and is significantly higher in patients with hypertension, diabetes mellitus, and dyslipidemia. In patients with overt CV disease, FSD is even more prevalent (up to 90%). The cause of FSD is multifactorial and includes various vascular, hormonal, interpersonal, and psychological factors, which are all intertwined. Several treatment options exist that are efficient in improving female sexual function, while a cluster of other alternatives has been shown to offer benefits. Conclusion: FSD is a significant public health problem with a great impact on the patients’ quality of life. In the setting of increased CV burden, FSD is even more prevalent. Increased awareness is needed for the physician to establish a trustful environment with the patient, discuss such issues, and offer suitable management options.

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